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Journal of Nephrology
Published in: Journal of Nephrology 4/2017

Open Access 01-08-2017 | Review

Intravenous fluids: balancing solutions

Author: Ewout J. Hoorn

Published in: Journal of Nephrology | Issue 4/2017

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Abstract

The topic of intravenous (IV) fluids may be regarded as “reverse nephrology”, because nephrologists usually treat to remove fluids rather than to infuse them. However, because nephrology is deeply rooted in fluid, electrolyte, and acid-base balance, IV fluids belong in the realm of our specialty. The field of IV fluid therapy is in motion due to the increasing use of balanced crystalloids, partly fueled by the advent of new solutions. This review aims to capture these recent developments by critically evaluating the current evidence base. It will review both indications and complications of IV fluid therapy, including the characteristics of the currently available solutions. It will also cover the use of IV fluids in specific settings such as kidney transplantation and pediatrics. Finally, this review will address the pathogenesis of saline-induced hyperchloremic acidosis, its potential effect on outcomes, and the question if this should lead to a definitive switch to balanced solutions.
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Metadata
Title
Intravenous fluids: balancing solutions
Author
Ewout J. Hoorn
Publication date
01-08-2017
Publisher
Springer International Publishing
Published in
Journal of Nephrology / Issue 4/2017
Print ISSN: 1121-8428
Electronic ISSN: 1724-6059
DOI
https://doi.org/10.1007/s40620-016-0363-9

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